| Which Company are you working for? | Built Electrical QLD |
|---|
| Which Trade are you working for? | Electrical |
|---|
| State | VIC |
|---|
| Date of Visit | 10/10/2017 |
|---|
| Technician's Name | Test Form Test Form |
|---|
| Swarovski Site in VIC | geelong |
|---|
| Test Period | 12 Monthly (90 minutes) |
|---|
| RCD Details (6 Month) | | Distribution Board No. |
Circuit No. |
Push Button (YorN) |
Pass / Fail (PorF) |
Fault? |
Repaired on Site (YorN) |
|---|
| a |
|
|
|
|
|
| a |
|
|
|
|
|
| a |
|
|
|
|
|
|
|---|
| RCD Details (12 Month) | | Distribution Board No. |
Circuit No. |
Push Button (YorN) |
0 Degrees |
180 Degrees |
Pass / Fail (PorF) |
Fault? |
Repaired on Site (YorN) |
|---|
| a |
|
|
|
|
|
|
|
| a |
|
|
|
|
|
|
|
| a |
|
|
|
|
|
|
|
|
|---|
| Exit/Emergency Light Checklist | - Check there has been no power interruption for at least 16 hours prior to test
- Carry out discharge test to ensure the luminaries remain illuminated for the required in service duration (90 or 120 minutes)
- Re-instate power to luminaries and check that the battery charge operation indicatior functions correctly
- Report any failures and provide costing to rectify (where applicable)
|
|---|
| Timers | - Check timers for correct operation and timing
|
|---|
| EMERGENCY LIGHTS | | Distribution Board No. |
ID No. |
Surface mounted or recessed? (SorR) |
Lamp OK? (YorN) |
Battery OK? (YorN) |
Condition OK? (YorN) |
Pass / Fail (PorF) |
Fault |
Repaired on Site (YorN) |
Under Warranty (YorN) |
|---|
| a |
|
|
|
|
|
|
|
|
|
|
|---|
| EXIT LIGHTS | | Distribution Board No. |
ID No. |
Lamp OK? (YorN) |
Battery OK? (YorN) |
Condition OK? (YorN) |
Pass / Fail (PorF) |
Fault |
Repaired on Site (YorN) |
Under Warranty (YorN) |
|---|
| a |
|
|
|
|
|
|
|
|
| a |
|
|
|
|
|
|
|
|
| a |
|
|
|
|
|
|
|
|
|
|---|
| General Checklist | - Check correct operation of all luminaries
- Report on any faulty luminaries/control gear
- Provide costing to repair/replace
|
|---|
| Are there accurate switchboard legends within each switchboard? Please take a photo send with report to epm@builtelectrical.com.au | No |
|---|
| Switched Socket Outlets | - Carry out visual check on SSOs for signs of misuse, blackening or deterioration
- Check and report any outlets with multiple power boards overloading
- Ensure any power boards used have an integral over-current limiter
|
|---|
| Are there any Warranty items needing to be repaired? | Yes |
|---|
| WARRANTY | | Defect Item |
Location of Item (on premises) |
Quantity |
Details of fault/problem |
Manufacturer |
Part Number |
Repaired on Site |
Comments |
|---|
| a |
|
|
|
|
|
|
|
| a |
|
|
|
|
|
|
|
| a |
|
|
|
|
|
|
|
|
|---|
| ELECTRICAL LIST OF REPAIRS & ADDITIONAL WORKS REQUIRED - (ALL FIELDS MANDATORY) - Please supply photo's | | Defect Item |
Location of Item (on premises) |
Quantity |
Details of fault /problem |
Repaired on Site? (YorN) |
Quote to be sent? (YorN) |
To return to Site |
Comments |
|---|
| a |
|
|
|
|
|
|
|
| a |
|
|
|
|
|
|
|
| a |
|
|
|
|
|
|
|
|
|---|
| General Works Checklist | - Inspect all furniture and fittings for visible damage
- Inspect all walls, ceilings, skirtings and floors for visible damage
- Inspect storefront, façade and store LED logo for correct operations and visible damage
- Inspect roller shutter and doors for correct operations and visible damage
- Check fire extinguishers, update compliance tags/labels
|
|---|
| Are there any repairs and additional works required? | Yes |
|---|
| General List of Repairs and additional works required | | Defect Item |
Location of Item |
Details of Problem |
Repaired on Site |
Quote to be Sent |
Comments |
|---|
| a |
a |
a |
a |
a |
a |
| a |
a |
a |
a |
a |
a |
|
|---|
| Fire Extinguisher Details | | Type (ABE Powder) |
Size (4.5kg) |
Last Test Date |
Manufacture Date |
Pressure Indicator (Green Zone) |
Location In Store |
Compliant (Y/N) |
|---|
| a |
|
|
|
|
|
|
| a |
|
|
|
|
|
|
|
|---|
| Next Test Due in 3 months | 10/01/2018 |
|---|
| Technician's Name | a |
|---|
| Store Manager's Name | a |
|---|
| |
|---|
| |
|---|
